“Finally Friday!” CY2015 OPPS Proposed Rule Report & Confusion on Status Decisions

Two Special Reports, Two Special Guests:

Expert Physician Advisor, Dr. Deepak Pahuja

Returned to Our Show:

Common Misconceptions in Admission Decisions

Hear Dr. Pahuja’s Latest Recommendations to Dispel Them

Get the Handouts & Watch the Replay Here

dr. pahuja

Dr. Deepak Pahuja, MD MBA

Joining us this week was Dr. Deepak Pahuja, CEO & CMO at Aerolib Healthcare Solutions.

Dr. Pahuja has been on our show before, and returns with new insights for operating under the 2 Midnight Rule – especially concerning the many misconceptions that he sees, working with hospitals and other physicians, when making decisions about admission status.

To illustrate, Dr. Pahuja presented a scenario with several days of events, and then went over the initial and subsequent decisions made by those involved, as well as his assessment of what was right/wrong about those decisions. There was also some lively responses from the audience!

Finally, I asked him to give a brief review of his latest edition of his company’s DVD, Aerolib Physician Advisor`s Guide DVD – a coaching tool for physician advisors, case managers, and anyone else who needs to work with documentation for medical necessity.

BONUS - only available thru Appeal Academy!

Dr. Pahuja graciously granted a 20% Discount off the normal price for his DVD.

You can get the DVD here for just $400 – instead of $495.


Changes Suggested in FY2015 OPPS Proposed Rule

Bill Malm, NC RN CMAS

Bill Malm, NC RN CMAS reports on the CY2015 OPPS & FPS Proposed Rules

Our Audit Specialist, Bill Malm, ND RN CMAS gave a fairly comprehensive report on the most recent posted OPPS & FPS changes.

Just as in his previous concise, insightful reports on CMS’ proposed and final rules, this was another fine overview of what you need to know about NOW.


  • Additions to Chronic Care Management
  • Inclusion of anesthesia in screening colonoscopies
  • Payment changes will go through notice and public comment prior to 2016 adoption
  • Changes to the Quality Reporting Initiatives

Watch the Video, get Handouts, Fact Sheets and slides below

Included for Handouts this week were lots of useful documents:

Federal Register version of CMS-1613-P OPPS & APC Proposed Rule
2015 PFS Proposed Rule Fact Sheet
2015 OPPS Proposed Rule Summary
2015 Ancillary Packaging Proposed
2015 NPRM Addendum
Slide for Dr. Pahuja’s Presentation

Handouts are available on the replay page…

Please enter your email address below to watch this replay immediately.

privacy We would never spam you

 We Appreciate Our Sponsors for this show:

Craneware  |  The Health Law Partners


Related Posts Plugin for WordPress, Blogger...
This entry was posted in Finally Friday! and tagged , , , , , , , , , , , , , . Bookmark the permalink.

Leave a Reply

Your email address will not be published. Required fields are marked *